Deck 6: Contraception

Question 1

All of the following are TRUE about the minipill,EXCEPT

A)it contains no estrogen.
B)it contains a small dose of a synthetic progesterone.
C)it has more side effects and associated health risks than other hormonal contraceptives.
D)it must be taken every day of the month.

Answer 1

it has more side effects and associated health risks than other hormonal contraceptives.

Question 2

The main advantage of oral contraceptives is the

A)high degree of effectiveness in preventing pregnancy.
B)high continuation rate.
C)low cost.
D)regularity of periods.

Answer 2

high degree of effectiveness in preventing pregnancy.

Question 3

The most common type of oral contraceptive is the

A)minipill.
B)combination pill.
C)sequential pill.
D)postcoital pill.

Answer 3

combination pill.

Question 4

In addition to hormone pills,most contraceptive packets also include

A)one week of inactive pills.
B)postcoital pills.
C)alternative contraceptive methods.
D)instructions for the Billings method.

Question 5

The "typical use" contraceptive failure rate is based on studies that measure the percentage of women experiencing unintended pregnancy in the first

A)six months of use.
B)year of use.
C)two years of use.
D)five years of use.

Question 6

According to the World Health Organization,how many women worldwide have unintended or unwanted pregnancies every year?

A)1 million
B)10 million
C)50 million
D)80 million

Question 7

____________ has one of the highest teen pregnancy rates of all developed nations.

A)Germany
B)The United States
C)France
D)Sweden

Question 8

Oral contraceptives primarily prevent conception by

A)reducing the number of sperm that penetrate the cervix.
B)blocking sperm from reaching the ovum.
C)changing the acidity of the vaginal canal.
D)preventing ovulation by mimicking the hormonal activity of the corpus luteum.

Question 9

A women that is consistently careful in following instructions is labeled as having the "perfect use" failure rate.What is that failure rate?

A)0.3 percent
B)0.6 percent
C)0.9 percent
D)1.0 percent

Question 10

Which of the following statements is TRUE of oral contraceptives?

A)They are effective only because they prevent ovulation.
B)Full protection is provided by oral contraceptives after three days of use.
C)The most common type of oral contraceptive contains both estrogen and progesterone.
D)A significant risk of pregnancy exists even if oral contraceptives are taken as directed.

Question 11

How many eggs are released through ovulation during a woman's fertile life?

A)200
B)400
C)600
D)800

Question 12

A women that is taking Lybrel will take the active pills for how long?

A)indefinitely
B)4 weeks,then take the inactive pills
C)6 weeks,then take the inactive pills
D)12 weeks,then take the inactive pills

Question 13

Full effectiveness of oral contraceptives is established

A)after the first pill is taken.
B)after one week of use.
C)after one month of use.
D)after three months of use.

Question 14

The medical advantages of oral contraceptives include all of the following,EXCEPT decreased risk of

A)benign breast disease.
B)pelvic inflammatory disease.
C)ovarian,colon,and rectal cancers.
D)sexually transmitted diseases.

Question 15

In addition to preventing ovulation,the birth control pill prevents conception in all of the following ways,EXCEPT

A)thickening the cervical mucus.
B)constricting the cervical opening.
C)altering the rate of ovum transport.
D)inhibiting the implantation of the fertilized ovum by changing the lining of the uterus.

Question 16

The continuation rate of a contraceptive is determined by the percentage of

A)people who continue to use a particular contraceptive after a specified period of time.
B)women who cannot become pregnant once they have stopped using a contraceptive.
C)women who become pregnant while using a contraceptive.
D)women who use more than one method of contraception in one year.

Question 17

The benefit of smaller doses of estrogen in oral contraceptives is

A)higher effectiveness.
B)higher sperm "kill" rate.
C)fewer health risks.
D)lower likelihood of contracting STDs.

Question 18

A contraceptive that physically blocks the sperm from reaching the egg is

A)a barrier method.
B)a hormonal method.
C)rarely effective.
D)irreversible.

Question 19

A woman taking the oral contraceptive Seasonale and Seasonique will have how many menstrual periods per year?

A)4
B)6
C)8
D)10

Question 20

A contraceptive that permanently prevents transport of the sperm or egg to the site of conception is a

A)surgical method.
B)hormonal method.
C)barrier method.
D)natural method.

Question 21

Which of the following methods should NOT be combined with diaphragm use?

A)Ortho Evra contraceptive skin patch
B)vaginal contraceptive ring
C)male condom
D)combination oral contraceptives

Question 22

Oral contraception is NOT recommended for women with

A)a low resting heart rate.
B)an intense exercise regimen.
C)a history of asthma.
D)a history of blood clots.

Question 23

The Ortho Evra contraceptive skin patch is worn for ________ before being replaced.

A)3 days
B)1 week
C)2 weeks
D)1 month

Question 24

The typical-use failure rate for the NuvaRing is about ______ percent.

A)6.0
B)7.5
C)8.7
D)9.5

Question 25

Which of the following methods is considered a "contraceptive implant"?

A)Depo-Provera
B)Lunelle
C)Implanon
D)Seasonale

Question 26

After insertion,the NuvaRing (vaginal contraceptive ring)is left in the vagina for ______ before removal.

A)6 hours
B)1 day
C)1 week
D)3 weeks

Question 27

The perfect-use failure rate of the NuvaRing is _____ percent.

A)0.3
B)0.6
C)0.9
D)1.0

Question 28

The NuvaRing offers pregnancy protection for how long?

A)1 week
B)1 month
C)6 months
D)1 year

Question 29

The Implanon is effective for how long?

A)2 years
B)3 years
C)5 years
D)8 years

Question 30

The Ortho Evra contraceptive skin patch can be worn on any of the following places,EXCEPT the

A)upper outer arm.
B)abdomen.
C)breasts.
D)buttocks.

Question 31

Which of the following actions will reduce the risk associated with the use of oral contraceptives?

A)using a high-dosage pill
B)having annual mammograms
C)checking weight daily
D)stopping smoking

Question 32

At what time during a women's cycle should she insert the vaginal contraceptive ring?

A)any time after her menstrual cycle
B)after she has ovulated
C)right prior to her entering menses
D)anytime during the first 5 days of her menstrual cycle

Question 33

Which of the following hormonal methods is thought to be less effective in women weighing more than 198 pounds?

A)combination oral contraceptives
B)Ortho Evra contraceptive skin patch
C)vaginal contraceptive ring
D)Lunelle injections

Question 34

Depo-Provera is

A)administered by mouth.
B)administered by injection.
C)a barrier contraceptive.
D)a form of long-acting estrogen.

Question 35

When a women is using an OC,she can use the mnemonic ACHES to be alert for preliminary danger signals.What does the "A" stand for?

A)alert
B)abscess
C)abdominal pain
D)allergic reaction

Question 36

The typical first-year failure rate for oral contraceptives is _________ percent.

A)2
B)5
C)8
D)12

Question 37

The Implanon implant is a(n)_______________ contraceptive.

A)barrier
B)mechanical
C)irreversible
D)hormonal

Question 38

Which of the following is probably the most serious disadvantage of oral contraceptives for most women?

A)They provide no protection against STDs.
B)They cause symptoms of early pregnancy.
C)They cause vaginal bleeding (spotting)between periods.
D)They are likely to cause acne.

Question 39

How does risk of death from using oral contraceptives compare with the risk of death from pregnancy?

A)Risk of death from using oral contraceptives is higher.
B)Risk of death from pregnancy is higher.
C)Risk of death from using oral contraceptives and from pregnancy is equal.
D)Data do not definitively reveal the comparative death risk from using oral contraceptives and pregnancy.

Question 40

Compliance seems higher for the contraceptive skin patch than for OCs because

A)the skin patch is easier to obtain.
B)it is safer than OCs.
C)the patch requires weekly instead of daily action.
D)the patch is cheaper.

Question 41

Which of the following is TRUE about condoms pre-lubricated with nonoxynol-9?

A)There is no evidence that they are any more effective than ones without nonoxynol-9.
B)They decrease the risk of HIV transmission.
C)They cost less than non-lubricated condoms.
D)They prevent urinary track infections.

Question 42

Which of the following is a progestin-only contraceptive,providing no estrogen?

A)Ortho Evra contraceptive patch
B)vaginal contraceptive ring
C)Lunelle injections
D)Depo-Provera injections

Question 43

Which of the following statements regarding the IUD is FALSE?

A)IUDs do not offer protection against STDs.
B)The exact way that the IUD provides contraception is not known.
C)The IUD is unsuitable for women with suspected pregnancy.
D)The IUD is the best contraceptive choice for young women who have never been pregnant.

Question 44

Which of the following is TRUE about polyurethane condoms?

A)Males with latex allergy will also be allergic to polyurethane condoms.
B)They are made of the same material as lambskin condoms.
C)They are less likely to slip off during sexual activity than are latex condoms.
D)They are more likely to break than are latex condoms.

Question 45

A disadvantage of Depo-Provera is

A)it has a relatively high failure rate.
B)it causes the same complications as other estrogen-based contraceptives.
C)after use is discontinued,infertility may result for up to 12 months.
D)it may cause permanent infertility.

Question 46

How exactly does the IUD prevent pregnancy?

A)It stops ovulation.
B)It creates a sperm barrier.
C)It causes a spontaneous abortion.
D)It is not known for certain how IUDs prevent pregnancy.

Question 47

The nylon threads that are attached to the IUD and protrude through the cervix serve to

A)allow the woman to remove the IUD when contraception is no longer desired.
B)allow for placement check.
C)act as a barrier to sperm.
D)provide penile stimulation during intercourse.

Question 48

The breakage rate for latex male condoms is about ____ time(s)for every 100 instances of use.

A)1 to 2
B)10
C)25
D)50

Question 49

Which of the following statements about IUDs is FALSE?

A)There is higher expulsion rate among younger women.
B)IUDs may cause uterine cramps.
C)Menstrual flow in IUD users is initially lighter.
D)Bleeding and spotting may occur between periods.

Question 50

Early IUD danger signals include all of the following,EXCEPT

A)heavy menstrual bleeding.
B)abdominal pain.
C)foul vaginal discharge.
D)unusual vaginal bleeding.

Question 51

The American College of Obstetricians and Gynecologists states that the use of an IUD can reduce the risk of developing which type of cancer?

A)breast
B)endometrial
C)ovarian
D)fallopian

Question 52

The perfect use failure rate for male condoms during the first year of usage is about ____ percent.

A)2
B)5
C)10
D)12

Question 53

What percentage of male condoms are purchased by women?

A)25 percent
B)33 percent
C)45 percent
D)50 percent

Question 54

All of the following are advantages of the IUD,EXCEPT

A)for its high reliability.
B)for only localized side effects.
C)it is easily reversible.
D)its use does not require consulting a health care provider.

Question 55

Which currently available IUD is effective for up to 10 years?

A)Copper T-380A
B)Lippes Loop
C)Mirena (Levonorgestral)
D)Progestasert

Question 56

All of the following are advantages of condoms,EXCEPT

A)being relatively inexpensive.
B)being available without prescription.
C)being as effective as oral contraceptives.
D)helping prevent the transmission of HIV infection.

Question 57

Which of the following is a disadvantage of condom use?

A)difficulty in obtaining
B)unreliability
C)diminished sensation
D)little protection against sexually transmitted diseases

Question 58

The most popular barrier method of contraception is the

A)female condom.
B)male condom.
C)diaphragm.
D)cervical cap.

Question 59

IUDs are contraindicated for all of the following,EXCEPT women with

A)a history of pelvic infection.
B)past pregnancies.
C)irregular or unexplained bleeding.
D)rheumatic heart disease.

Question 60

Which of the following statements regarding IUDs and pelvic inflammatory disease (PID)is TRUE?

A)PID rates are high for the first 6 months of use.
B)PID is typically limited to women who have a history of spontaneous abortions.
C)Most cases of PID among IUD users can be treated with antibiotics.
D)PID rates are independent of risk factors.

Question 61

An advantage of the FemCap over the diaphragm is that it

A)does not require being fitted by a health care provider.
B)it may be left in place for up to 48 hours.
C)may be left in place for up to 1 week.
D)provides more protection against HIV infection.

Question 62

A disadvantage of the diaphragm is that

A)a high percentage of women are allergic to it.
B)it requires the use of a spermicide.
C)you must wait to insert it minutes before intercourse.
D)you must remove it immediately after intercourse.

Question 63

The function of the diaphragm is to

A)cover the cervix.
B)cover the entrance to the fallopian tubes.
C)impair the swimming action of the sperm.
D)provide a sheath-like lining for the vagina.

Question 64

To further enhance the general effectiveness of a condom in preventing pregnancy,one should

A)use a spermicidal foam just prior to intercourse.
B)use a vaginal spermicide after intercourse.
C)store condoms in a warm location.
D)use a condom made out of lambskin.

Question 65

Vaginal spermicides most be inserted no more than how long before intercourse?

A)30 minutes
B)45 minutes
C)60 minutes
D)90 minutes

Question 66

With perfect use of a diaphragm,the failure rate is about ______ percent.

A)2
B)4
C)6
D)8

Question 67

Contraceptive foams,creams,and jellies must be inserted

A)deep in the vagina near the cervix.
B)in the uterus.
C)at the vaginal opening.
D)3 hours before intercourse.

Question 68

The typical first-year failure rate of the female condom is _______ percent.

A)15
B)21
C)32
D)38

Question 69

Which of the following is NOT an advantage of the female condom?

A)The female condom is less expensive than the male condom.
B)The female condom gives a woman more personal control over contraception and STD protection.
C)The female condom can be inserted before sexual activity and is,therefore,less disruptive than male condoms.
D)The female condom offers protection against genital warts and herpes.

Question 70

Advantages of the sponge include all of the following,EXCEPT it

A)may be left in place for 24 hours.
B)can be used multiple times.
C)provides partial STD protection.
D)can be obtained without professional fitting.

Question 71

The FemCap may be left in place after intercourse for as long as

A)6 hours.
B)24 hours.
C)48 hours.
D)1 week.

Question 72

While in storage,diaphragms should be coated with

A)talcum powder.
B)nothing.
C)Vaseline.
D)spermicide.

Question 73

A thimble-shaped cup that fits over the cervix and serves as a barrier to sperm is the

A)sponge.
B)diaphragm.
C)Billings shield.
D)FemCap.

Question 74

Disadvantages of the sponge include all of the following,EXCEPT

A)allergic reactions.
B)an association with toxic shock syndrome.
C)additional spermicide must be applied every 6-8 hours.
D)difficulty with removal.

Question 75

Vaginal spermicides come in all of the forms below,EXCEPT

A)foam.
B)suppository.
C)film.
D)aerosol spray.

Question 76

The female condom

A)is inserted completely into the vagina with none of it visible on the outside.
B)can be inserted up to 8 hours before intercourse.
C)does not require lubrication or spermicide.
D)can be washed and reused.

Question 77

After intercourse,the diaphragm should be left in for at least

A)1 hour.
B)6 hours.
C)8 hours.
D)overnight.

Question 78

The diaphragm can be inserted up to how long before intercourse?

A)a few minutes
B)1 hour
C)2 hours
D)6 hours

Question 79

Which of the following is a reason that diaphragms have a relatively high failure rate?

A)age of user
B)incorrect insertion and positioning
C)sexual activity of user
D)discomfort prohibits use

Question 80

If a condom breaks,an appropriate strategy for reducing the risk of pregnancy is to

A)douche.
B)insert a vaginal contraceptive ring.
C)use emergency contraception.
D)switch to an oil-based lubricant.